Sri Lanka

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (1987-2011) Risk behaviors (2004-2009) Vulnerability and HIV knowledge (2004-2008) HIV Expenditure (2007-2009) National Response (2004-2009) Archives CONTENT

3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Source: 1. UN Statistics Division. (2010). Demographic and Social Statistics. Retrieved 10 January 2011, from http://unstats.un.org/unsd/demographic/products/socind/population.htm 2. UN Population Division. (2011). World Population Prospects, the 2010 Revision. Retrieved 10 January 2011, from http://esa.un.org/unpd/wpp/Excel-Data/population.htm 3. UNFPA. (2010). State of World Population 2010. 4. World Bank. World Development Indicators & Global Development Finance. Retrieved 10 January 2011, from http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2 5. WHO. (2010). World Health Statistics 2010. 6. UNDP. (2010). Human Development Report 2010.

Risk behaviours

Selected risky sexual behavior among youth (18-24) years in Galle (Southern Province), 2009 5 Source: Prepared by www.aidsdatahub.org based on Survey among Youth (18-24) Years in Galle in the Southern Province 2009 cited in UNGASS Country Progress Report 2010: Sri Lanka. Sample size = 812

% of consistent condom use among military personnel with different types of sexual partners in the last 12 months, 2008 6 Source: Prepared by www.aidsdatahub.org based on International Centre for Ethnic Studies. (2009). A Survey of HIV/AIDS Awareness and Risky Sexual Behavior in a Vulnerable Population in Sri Lanka. Sample size= 900

Selected risky sexual behavior among military personnel, 2008 7 Source: Prepared by www.aidsdatahub.org based on International Centre for Ethnic Studies. (2009). A Survey of HIV/AIDS Awareness and Risky Sexual Behavior in a Vulnerable Population in Sri Lanka. Sample size= 900

Percentage of consistent condom use among different types of female sex workers in the past year, 2006-2007 8 Source: Prepared by www.aidsdatahub.org based on Rawstorne, P., & Worth, H. (2007). Sri Lanka Behavioural Surveillance Survey: First Round Survey Results 2006 - 2007. Colombo: Ministry of Healthcare and Nutrition, Sri Lanka.

% of sex workers reporting the use of a condom with the most recent client, 2004-2007 9 Source: Prepared by www.aidsdatahub.org based on 1. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. 2. UNAIDS. (2006). 2006 Report on the Global AIDS Epidemic. and 3. National Council for Economic Development, & UNDP. Millennium Development Goal Country Report 2005: Sri Lanka.

% of sex workers reporting consistent use of a condom in the past 12 months, 2006 10 Source: Prepared by www.aidsdatahub.org based on BSS 2006 among MARPs cited in UNGASS Country Progress Report 2008: Sri Lanka.

Pattern of consistent condom use among beach boys and MSM with regular and non regular partners, 2006-2007 11 Source: Prepared by www.aidsdatahub.org based on Rawstorne, P., & Worth, H. (2007). Sri Lanka Behavioural Surveillance Survey: First Round Survey Results 2006 - 2007. Colombo: Ministry of Healthcare and Nutrition, Sri Lanka.

% of MSM reporting the use of a condom the last time they had anal sex with a male partner, 2007 12 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka.

% of MSM reporting the use of a condom the last time they had anal sex with a male partner, 2005-2007 13 Data represents Anuradapura district only – Year 2005 UNGASS Report states that 1/3 MSM did not use condoms, implying that 2/3 or 67% have used condoms. ONLY 18% OF THE MSM REPORTED USING A CONDOM CONSISTENTLY Source: Prepared by www.aidsdatahub.org based on 1. National STD/AIDS Control Programme (2006). Country Report – Sri Lanka on Follow Up to the Declaration on Commitment On HIV/AIDS (UNGASS) (Reporting Period : January 2003- December 2005) and 2. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. Data represents national level of condom use among MSM during anal sex – Year 2007

Percentage of consistent condom use with commercial partners among specific male population groups in the past year (2006-2007) 14 Source: Prepared by www.aidsdatahub.org based on Rawstorne, P., & Worth, H. (2007). Sri Lanka Behavioural Surveillance Survey: First Round Survey Results 2006 - 2007. Colombo: Ministry of Healthcare and Nutrition, Sri Lanka.

% of males in high risk occupational groups used a condom every time they had vaginal sex in the past 12 months, 2006 15 Source: Prepared by www.aidsdatahub.org based on BSS 2006 among MARPs cited in National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka..

Vulnerability and HIV knowledge

% of military personnel with correct knowledge on HIV prevention and mode of transmission, 2008 17 Sample size= 900 Source: Prepared by www.aidsdatahub.org based on International Centre for Ethnic Studies. (2009). A Survey of HIV/AIDS Awareness and Risky Sexual Behavior in a Vulnerable Population in Sri Lanka.

% of most-at-populations with comprehensive knowledge, 2007 18 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition)

Young people (15-24) with comprehensive HIV knowledge, 2007 19 Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS, Sri Lanka, 2008 Update.

% of MSM with knowledge of HIV transmission and prevention, Anuradhapura, 2005 20 Data represent a survey conducted among 105 MSM in Anuradhapura in 2005 HIV is prevented by using condoms HIV is transmitted by unprotected sex Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka.

HIV Expenditure

Amount of domestic and international HIV expenditures and % shared by government, 2008 - 2009 22 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

% distribution of total HIV expenditures by financing source, 2008 - 2009 23 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Amount of total HIV expenditures by service category, 2008-2009 24 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Amount of total HIV expenditures by major spending category, 2008-2009 25 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

% distribution of total HIV expenditures by major spending category, 2008-2009 26 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Amount of total HIV expenditures on prevention by service category, 2008 – 2009 27 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

% distribution of total HIV expenditures on prevention by service category, 2008 - 2009 28 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Total Resource Allocation for HIV & AIDS, 2007-2011 29 Source: Prepared by www.aidsdatahub.org based on National STD and AIDS Control Programme. (2007). Sri Lanka National HIV/AIDS Strategic Plan 2007-2011.

National Response

Percentage of selected populations ever tested for HIV, 2006-2007 31 Source: Prepared by www.aidsdatahub.org based on Rawstorne, P., & Worth, H. (2007). Sri Lanka Behavioural Surveillance Survey: First Round Survey Results 2006 – 2007.

% of populations at higher risk who have been tested for HIV in the last 12 months and who knew their results, 2007 32 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka.

Percentage of population at higher risk reached with HIV prevention program in the last 12 months, 2006-2007 33 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009.

% of most at risk populations reached by HIV prevention programs, 2005 34 Source: Prepared by www.aidsdatahub.org based on Stover, J., and M. Fahnestock. 2006. Coverage of Selected Services for HIV/AIDS Prevention, Care, and Treatment in Low- and Middle-income Countries in 2005. Washington, DC: Constella Futures, POLICY Project.

ART and PMTCT coverage, 2006-2009 35 Source: Prepared by www.aidsdatahub.org based on 1. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. and 2. National STD/AIDS Control Programme Sri Lanka (2010). UNGASS Country Progress Report: Sri Lanka

Status of maternal and infant PPTCT coverage, 2009 36 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

Number of HIV+ pregnant women who are in need of and who received ART to prevent mother-to-child transmission, 2007 37 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2008.

% of HIV+ pregnant women who received antiretroviral to reduce the risk of mother to child transmission of HIV, 2006-2007 38 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. According to 2007 data, (1-3) % of HIV+ pregnant women were receiving ART to prevent mother-to-child transmission of HIV. (Source:WHO_UNAIDS_UNICEF_Towards Universal Access – Scaling up priority HIV/AIDS interventions in the health sector, 2008)

Number of adults and children who are in need of ART and % of ART coverage, 2009 39 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

Number of children (<15 years) who are in need of ART, who are receiving ART and % of ART coverage, 2009 40 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

% of adults and children with HIV known to be on treatment 12 months after the initiation of ART, 2004 - 2007 41 Source: Prepared by www.aidsdatahub.org based on1. National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka. 2. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. and 3. National STD/AIDS Control Programme Sri Lanka (2010). UNGASS Country Progress Report: Sri Lanka

Number of adults and children with advanced HIV infection receiving ART, 2007 42 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2008.

National Composite Policy Index (NCPI) , 2003-2009 43 Rated by government officials Score= 0 to 10 Source: Prepared by www.aidsdatahub.org based on1. National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka. 2. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. and 3. National STD/AIDS Control Programme Sri Lanka (2010). UNGASS Country Progress Report: Sri Lanka

44 Rated by civil society organizations, Bilateral agencies and UN organizations Score = 0 to 10 National Composite Policy Index (NCPI), 2003-2009 Source: Prepared by www.aidsdatahub.org based on1. National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka. 2. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. and 3. National STD/AIDS Control Programme Sri Lanka (2010). UNGASS Country Progress Report: Sri Lanka

Archives

Risk behaviours

% of population 15-19 yrs who reported commercial sex in the past 12 months, 2004 47 Primary source is National Survey of Emerging Issues Among Adolescents, 2004 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka.

% of males 15-19 with multiple partners reporting the use of a condom in the past 12 months, 2004 48 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka.

49 THANK YOU slides compiled by www.aidsdatahub.org Data shown in this slide set are comprehensive to the extent they are available from country reports. Please inform us if you know of sources where more recent data can be used. Please acknowledge www.aidsdatahub.org if slides are lifted directly from this site